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Yolanda Dennis
Executive Director
Office of Institutional Diversity
Massasoit Community College
508-588-9100, Ext. 1304

Susan Haidul
Staff Assistant
Office of Institutional Diversity
508-588-9100, Ext. 1309

Office of Institutional Diversity

National Coalition Building Institute (NCBI)

Workshop Request Form
Please complete the below workshop request form and click on the "Submit Form" button to send your request electronically to Yolanda Dennis, Executive Officer for Institutional Diversity. Massasoit Community College's NCBI Trainers will be advised of your request and two people from the Massasoit Team will facilitate the workshop(s).
All fields are required
Person requesting an NCBI Workshop:
Campus Extension:
E-mail Address:
(Please Note: A valid e-mail address is required to process this form.)
Workshop Request Information
Time and Day(s) of Class or Session:
Campus and Room:
Gender Make-up of Class/Group:
(i.e. ratio of male to female)
Course Name:
Approximately how many people do you anticipate attending:
Questions or any information the instructor thinks are important for the trainer(s) to know:
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